Organization Active NPI

The Psych Network

Doing business as Knockout Mental Health

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1285179747
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE PSYCH NETWORK
Doing business as
Knockout Mental Health
Practice address
3085 E Flamingo Rd
Suite B-1
Las Vegas, NV 89121-4308
Phone
(702) 457-3792
Fax
(888) 959-8990
NPI assigned
Dec 19, 2016
Last updated
Dec 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deborah Ornelas
Title
President
Phone
(702) 547-3792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NV Primary

Addresses

Primary practice location

3085 E Flamingo Rd
Suite B-1
Las Vegas, NV 89121-4308

Mailing address

3085 E Flamingo Rd
Suite B-1
Las Vegas, NV 89121-4308
Phone (702) 457-3792

Other names 1

  • Knockout Mental Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Knockout Mental Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3085 E Flamingo Rd
Ste B1
Las Vegas, NV 89121
Phone (702) 457-3792

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1285179747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 E FLAMINGO RD",
            "address_2": "SUITE B-1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214308",
            "telephone_number": "702-457-3792",
            "fax_number": "888-959-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 E FLAMINGO RD",
            "address_2": "SUITE B-1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214308",
            "telephone_number": "702-457-3792",
            "fax_number": "888-959-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PSYCH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "ORNELAS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-547-3792"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knockout Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.